Individual
MRS. KELSEY LEIGH VAN DUSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHP
Contact information
Practice address
615 N ELM ST, GRAND ISLAND, NE 68801-4254
(308) 379-2242
Mailing address
PO BOX 22, 1303 GRANT, SAINT PAUL, NE 68873-0022
(308) 750-3578
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2754
NE
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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